Provider Demographics
NPI:1336125640
Name:TRUSTEES OF MEASE HOSPITAL INC
Entity Type:Organization
Organization Name:TRUSTEES OF MEASE HOSPITAL INC
Other - Org Name:MEASE DUNEDIN HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, BAYCARE HOSPITAL DIVISION
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:TREMONTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-462-7176
Mailing Address - Street 1:601 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-5848
Mailing Address - Country:US
Mailing Address - Phone:727-281-9479
Mailing Address - Fax:727-734-6887
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-5848
Practice Address - Country:US
Practice Address - Phone:727-733-1111
Practice Address - Fax:727-734-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4378282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10D0298676OtherCLIA
FL0101541-00Medicaid
FLAT0173877OtherDEA
FLAT0173877OtherDEA